{extend name="public:base" /}{block name="css"}
<link rel="stylesheet" type="text/css" href="/static/layui/css/layui.css"/>
<link href="__ADMIN__/css/style.css" rel="stylesheet">

{/block}{block name="content"}

<div class="wrapper wrapper-content animated fadeInRight">
    <div class="row">
        <div class="col-lg-12">
            <div class="ibox ">
                <div class="ibox-content">
                    <form method="post">
                        <div class="box-item">
                            <div class="form-group row">
                                <h3 class="col-sm-1">结算基本信息</h3>
                            </div>
                        </div>

                        <div class="box-item">
                            <div class="form-group row">
                                <label class="col-sm-1 col-form-label">结算单号</label>
                                <div class="col-sm-3">
                                    <input type="text" class="form-control" value="123456" readonly>
                                </div>
                            </div>
                        </div>
                        <div class="box-item">
                            <div class="form-group row">
                                <label class="col-sm-1 col-form-label">创建人</label>
                                <div class="col-sm-3">
                                    <input type="text" class="form-control" value="{:session('account')}" readonly>
                                </div>
                            </div>
                        </div>
                        <div class="box-item">
                            <div class="form-group row layui-form">
                                <label class="col-sm-1 col-form-label">结算类型</label>
                                <div class="col-sm-3">
                                    <select name="style">
                                        <option value="1">紧急</option>
                                        <option value="2">补发</option>
                                        <option value="3">调整</option>
                                        <option value="4">其他</option>
                                    </select>
                                </div>
                            </div>
                        </div>

                        <div class="hr-line-solid"></div>

                        <div class="box-item">
                            <div class="form-group row">
                                <h3 class="col-sm-1">结算范围选择</h3>
                            </div>
                        </div>

                        <div class="box-item">
                            <div class="form-group row layui-form">
                                <label class="col-sm-1 col-form-label">结算范围</label>
                                <div class="col-sm-3">
                                    <input type="radio" name="range" value="1" title="结算全部待结算金额" checked>
                                    <input type="radio" name="range" value="2" title="按条件筛选结算订单">
                                </div>
                            </div>
                        </div>
                        <div class="hr-line-solid"></div>

                        <div class="box-item">
                            <div class="form-group row">
                                <h3 class="col-sm-1">结算金额确认</h3>
                            </div>
                        </div>

                        <div class="box-item">
                            <div class="form-group row">
                                <label class="col-sm-1 col-form-label">实际结算金额</label>
                                <div class="col-sm-3">
                                    <input type="text" class="form-control" name="money" value="1">
                                </div>
                            </div>
                        </div>

                        <div class="box-item">
                            <div class="form-group row">
                                <label class="col-sm-1 col-form-label">结算原因说明</label>
                                <div class="col-sm-3">
                                    <textarea class="form-control" placeholder="请输入本次手动结算具体原因" name="textarea" rows="8"></textarea>
                                </div>
                            </div>
                        </div>

                        <div class="box-item">
                            <div class="form-group row layui-form">
                                <label class="col-sm-1 col-form-label"></label>
                                <div class="col-sm-4">
                                    <p>温馨提示：手动结算申请提交后，需监管方主管审批通过后方可执行</p>
                                </div>
                            </div>
                        </div>

                        <div class="form-group row">
                            <div class="col-sm-4 col-sm-offset-2">
                                <button type="button" class="btn btn-w-m btn-primary" onclick="save()">提交结算申请</button>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
</div>{/block}


{block name='js'}
<script src="__STATIC__/layui/layui.js"></script>
{/block}